Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,203.37 / $7,354.07 / $11,627.00	Facility		$2,203.37	$7,354.07	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,984.97 / $2,203.37 / $4,054.37	Professional		$1,984.97	$2,203.37	$4,054.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,785.00 / $8,239.18 / $15,310.83	Facility		$2,785.00	$8,239.18	$15,310.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,575.53 / $2,222.29 / $3,749.11	Professional		$1,575.53	$2,222.29	$3,749.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $3,079.77 / $3,079.77 / $3,079.77	Professional		$3,079.77	$3,079.77	$3,079.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,096.50 / $2,515.80 / $3,113.84	Facility		$2,096.50	$2,515.80	$3,113.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,722.28 / $2,306.15 / $2,725.45	Professional		$1,722.28	$2,306.15	$2,725.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,200.00 / $21,571.00	Facility		$425.00	$1,200.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,817.85 / $2,890.89 / $4,418.32	Professional		$1,817.85	$2,890.89	$4,418.32
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $600.00 / $2,524.85	Facility		$425.00	$600.00	$2,524.85
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1,941.30 / $2,935.10 / $4,418.32	Professional		$1,941.30	$2,935.10	$4,418.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $1,838.00 / $2,942.75	Professional		$213.31	$1,838.00	$2,942.75
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $2,883.00 / $6,111.00	Facility		$650.00	$2,883.00	$6,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.65 / $2,675.87 / $4,633.99	Professional		$1,861.65	$2,675.87	$4,633.99